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2013 Parish Financial & Insurance Information
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* Indicates required question
Congregation Name & Location
*
e.g. St. Stephen's Church, Sewickley, PA
Your answer
State Sales Tax Exemption Number
*
Enter "NONE" if your state does not have sales tax or your congregation does not have a tax exemption number.
Your answer
Primary Insurance Carrier Information
Please provide the name of the Primary Insurance Carrier and the policy number for each type of insurance coverage. Enter "NONE" if you do not have a particular type of insurance coverage.
Property, Liability Insurance Carrier & Policy Number
*
Your answer
D&O Insurance Carrier & Policy Number
*
Your answer
Fidelity Bond Insurance Carrier & Policy Number
*
Your answer
Misconduct Insurance Carrier & Policy Number
*
Your answer
Worker's Comp Insurance Carrier & Policy Number
*
Your answer
Treasurer Information
Please fill out all of the contact information for the treasurer of your congregation.
First Name
*
Your answer
Last Name
*
Your answer
Mailing Address
Please enter the preferred mailing address for correspondence from the Diocese.
Your answer
Phone (Home)
Your answer
Phone (Work)
Your answer
Email Address
*
Your answer
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